My CAC Score went from 378 to 798 in 4 years. I am 79 but no heart symptoms, am active and overall very healthy. Passed two stress tests with flying colors. Then had them test me for Lipoprotein (a) [Lp a] and it was over the roof high at 283 nmol/L. Luckily, my high sensitive CRP is very low which says low inflammation so that is helpful to lower my risks. I take a lot of supplements and have a strong immune system. You might want to get your Lp a tested. The two together is very high risks but there are diet and lifestyle changes that look attractive until an FDA approved medicine is available; probably not until 2026.